hand trauma

Question 1

phalynx fracture - if intra-articular it will need ___, however if extra-artiuclar it will need ___

Answer 1

surgery

buddy taping

Question 2

Bennets fracture the base of __ metacarpal fracture into CMC joint. It usually needs __

Answer 2

thumb

pins

Question 3

if fracture is only of base of thumb (no CMC joint invlovlement): treatment

Answer 3

cast only (you had this)

Question 4

boxers fracture

Answer 4

5th MCP fracture

watch out for ‘fight bite’ - post infection

Question 5

swollen knuckle, struggle to flex digits/malalignment on flexion.

Answer 5

MCP fracture

Question 6

define carpal tunnel

which nerve is compressed

Answer 6

numbness in th7umb, index and middle finger

median

Question 7

trigger finger is when the __ becomes too inflamed to pass through the pully smoothly. how does it present? how would you treat

Answer 7

tendon
catches once finger flexed, cant extend
inj steroids/surgery if too bad

Question 8

DeQuervains tenosynovitis is inflammation of tendons where?

Answer 8

side of thumb

finkelstems test: gripping thumb ill stretch tendon -> pain

Question 9

skiers thumb

Answer 9

torn thumb ligament

pain in 1st webspace

Question 10

jersey finger is from flexor/extensor tendon tear at tip of fingers. injured one will remain sticking up/down. surgery to restore t.f

Answer 10

flexor
up
true

Question 11

mallet finger is opposite of jersey finger. which tendon at tip of finger is torn? surgery to restore t.f?

Answer 11

extensor

false - splint